Provider Demographics
NPI:1427214774
Name:OPREA, LUANE MARIA (PHD)
Entity type:Individual
Prefix:DR
First Name:LUANE
Middle Name:MARIA
Last Name:OPREA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 W BROADWAY
Mailing Address - Street 2:P. O. BOX 358
Mailing Address - City:JACKSON
Mailing Address - State:WY
Mailing Address - Zip Code:83001-9475
Mailing Address - Country:US
Mailing Address - Phone:307-699-4394
Mailing Address - Fax:
Practice Address - Street 1:970 W BROADWAY
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:WY
Practice Address - Zip Code:83001-9475
Practice Address - Country:US
Practice Address - Phone:307-699-4394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-05
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLPC1037101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health